Practice Management
RETAIL CLINIC ROOFTOPS BY HOST Between May 2023 and June 2026, the number of health clinics hosted in retail settings in the United States fell from 1,750 to 1,166. This represents a 33% overall decline from the 2023 peak. The decline also includes a recent 15% drop since our previous analysis, which found 1,370 sites in operation from May 2023 through December 2024.1 The contraction began when CVS, Walgreens, and Walmart announced closures and has …
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An 83-year-old female with a past medical history of hypertension, diabetes mellitus, and hyperlipidemia presents to urgent care with palpitations and dizziness for the past 2 weeks. She does not have any family members present. An ECG is obtained. View the ECG and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
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A survey of 1,014 U.S. healthcare consumers suggests that speed remains urgent care’s strongest competitive advantage, and it’s also the factor consumers value most, according to data from branding firm Monigle. Urgent care outperformed primary care on consumers’ perception of “help you get care quickly” (71% vs 68%), but primary care scored better on all the other measures included in the survey. The largest gaps between urgent care and primary care appeared in the ability …
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Urgent Message: Despite national recommendations regarding childhood vaccination, some parents are hesitant or refuse to vaccinate their child. This survey assessment presents parents’ perceptions of vaccination and the scope of undervaccination in a pediatric urgent care population. Stacy B. Buchanan, DNP, APRN, CPNP-PC; Brooke Cherven, PhD, MPH, RN; Betsy Dye, MS, CPNP-PC, NPD-BC, EBP-C; Temima Oratz, BSN, RN, EBP-C; Margaret Gettis, DNP, APRN, CPNP-PC, EBP-C Keywords: vaccine hesitancy; childhood immunization; undervaccination; measles-mumps-rubella vaccine; varicella vaccine; …
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Researchers from Dartmouth found that when using large language models (LLMs) to draft responses to patient portal messages, clinicians may spend more time editing the AI responses than it would take to write them manually in the first place. Using more than 610,000 patient portal messages, the researchers created a training dataset of 144,000 clinician–patient conversations and tested multiple commercial and locally hosted LLMs against expert-written responses. In the study —which was presented at the …
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Lindsey E. Fish, MD, FCUCM, Editor-in-Chief, The Journal of Urgent Care Medicine, [email protected] In this issue of JUCM, you will find an original research article exploring parental vaccine hesitancy. Vaccine hesitancy is a challenging issue because it frequently triggers charged emotions in patients and clinicians alike. While there have always been strong opinions regarding vaccines, from the clinician perspective, the degree amplified significantly during the COVID-19 pandemic. I will never forget reading about front-line physicians …
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Over the past year, I’ve written about telling our story, strengthening our voice, proving our value, and, most recently, Urgent Care’s evolution from a convenient alternative to an essential part of everyday healthcare. As I look at where we stand today, I believe we’re entering another important chapter. Healthcare is changing rapidly, and nearly every trend points in the same direction. Primary care physicians are retiring faster than they can be replaced. New physicians aren’t …
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Brad Laymon, PA-C, CPC, CEMC Every clinician I work with wants to do right by their patients and their charts. Yet across the urgent care systems I consult with, the same quiet leaks show up repeatedly. None of these are dramatic errors. They may never trigger an audit flag. They simply shave a level off the visit, encounter after encounter, until the lost revenue becomes real. The most common leak I see is an abnormal …
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Lumbar belts appear to be helpful for alleviating low back pain, possibly offering a reasonable alternative to pain medication. In an analysis published in JAMA Network Open of 168 adults with nonspecific low back pain lasting 1–6 months, researchers evaluated whether adding a nonrigid lumbar belt to usual care improved pain and function. Patients assigned to the belt were instructed to wear it 4–8 hours daily for 12 weeks. At 12 weeks, disability scores improved …
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The Food and Drug Administration (FDA) has approved a continuous glucose and ketone monitoring system, which it says is the first wearable device that monitors both levels simultaneously with a single sensor. The system measures glucose and ketones in interstitial fluid every minute for up to 10 days and transmits the information to the patient’s smartphone. Patients arriving in urgent care will be able to present not just current ketone readings but the direction and …
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